Medical care for minorsRestriction▾
SB1138 bans surgeries on minors. Not a ban on puberty blockers or cross-sex hormones. As of 13 October 2026, AHCCCS pharmacy prior-authorization criteria no longer cover puberty blockers or cross-sex hormones for gender dysphoria in patients under 19 and deny them as a benefit exclusion. Patients who started them on or before that date are grandfathered for six months. A 2023 executive order shields remaining legal care.
Arizona Legislature (SB1138)
MedicaidCoverage ended (minors)▾
Medicaid doesn't pay for sex-change procedures at any age. AHCCCS stopped covering puberty blockers and cross-sex hormones for gender dysphoria under 19 from 13 Oct 2026, with a six-month grandfather. A federal CMS rule ends federal Medicaid and CHIP money for puberty blockers, cross-sex hormones and surgery for minors.
42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406); state notice
State employeesCovers▾
State and university employee plans may not categorically exclude sex-change surgery (Toomey v. Arizona consent decree, 2023).
Toomey v. Arizona final consent decree, No. 4:19-cv-35 (D. Ariz. 29 Sep 2023)
SportsSex-based▾
Girls' sports are protected: state law keeps males out of girls' and women's teams (K-12 and higher education). A court challenge was dropped in July 2026, so the law can be enforced.
SB1165
FacilitiesNo state law▾
No state law keeps males out of women's and girls' bathrooms and changing rooms.
No state law identified (statute review, Oct 2026)
Pronouns and parent noticeNo state law▾
No state law requires schools to tell parents if their child socially transitions at school.
No state law identified (statute review, Oct 2026)
CurriculumParental opt-in▾
Parents must be notified and must opt their child in before any lessons on sexual orientation or gender identity.
Arizona HB 2035
Sex definitionNo state law▾
No state law defines male and female by biology.
No state law identified (statute review, Oct 2026)
ID markersBirth-certificate sex changed with clinician statement▾
Birth-certificate sex changed with clinician statement; licence sex change needs a provider form.
ADHS - Vital Records (azdhs.gov)
Shield lawNone▾
No shield law.
No shield statute identified
AdultsRestricted (funding)▾
DetransitionNo state law▾
No special right for detransitioners to sue.
No state law identified
PrisonsCase-by-case▾
A committee decides housing case by case, not on gender identity alone.
ADCRR Department Order 810, Management of LGBTI Inmates
Pending billsNo active bills▾
No active bills (checked 13 Oct 2026). The 2026 regular session has adjourned (or the legislature does not meet in 2026), so 2025-26 bills are no longer moving. LegiScan search linked.
LegiScan search, checked 13 Oct 2026 (adjourned legislature)
LitigationNone identified▾
No active court case on these laws identified in this review.
Review, Oct 2026
Key datesNone upcoming▾
No upcoming effective dates or court deadlines identified.
Review, Oct 2026
Sources
- Arizona Legislature (SB1138)
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406); state notice
- SB1138
- Toomey v. Arizona final consent decree, No. 4:19-cv-35 (D. Ariz. 29 Sep 2023)
- SB1165
- Arizona HB 2035
- ADHS - Vital Records (azdhs.gov)
- ADCRR Department Order 810, Management of LGBTI Inmates
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)